How to identify the first signs of stomach and duodenal ulcers? How to treat a duodenal ulcer How to identify a stomach and duodenal ulcer.

Date: 01.07.2020

A peptic ulcer is a chronic disease, as a result of which the mucous membrane of the digestive system is destroyed and ulcers are formed. Depending on their location, ulcers of the intestines, stomach and duodenum are distinguished.

Signs of a stomach ulcer

This disease is chronic. It is characterized by the formation of ulcers in the gastric mucosa. More often observed in men under 50. What are the signs of a stomach ulcer you need to know?

Pain for a long time. They may not stop for weeks, months, and sometimes last for six months. If you are not examined, then you yourself can notice that pains appear in spring and autumn. They are absent in summer and winter.
Periodic spasms of the pylorus.
Constant irritation of the organ walls covered with ulcers with acid.
Moderate colic with aching pain... It is felt after eating. If there is nothing, it dies down.
An ulcer of the stomach and intestines makes itself felt in rainy and windy weather.
The pain is aggravated by quarrels, scandals and stress.
Excessive positive emotions can provoke them.
Diseases of the joints, respiratory organs, colds after treatment with appropriate drugs cause pain.
Signs of a stomach ulcer opening are always palpable. The patient experiences constant excruciating pain, which is accompanied by frequent vomiting. After it comes temporary relief.
Internal tension and irritability appear.

Some people have stomach ulcers without pain. And if it does exist, it is referred to as another disease.

Stomach ulcer: treatment

Treatment of the duodenum with alternative methods

To heal the ulcers, you should take sea buckthorn oil a teaspoon three times a day. You can eat a mixture made from cocoa powder in an amount of 50 grams, 2 raw eggs, 100 grams of butter and 50 grams of honey. One teaspoon is enough. At this time, the patient should be provided with five meals a day.
With an exacerbation of the disease, the collection of yarrow, calendula, chamomile, serpentine mountaineer, celandine, St. John's wort, flax and dill seeds, marshmallow and elecampane roots helps well. The herbs are crushed and mixed in equal proportions. A tablespoon of the prepared mixture is poured with half a liter of cold water, insisted overnight. In the morning, as soon as it boils, the broth is removed from the heat and steamed for another 40 minutes in a water bath. Then it is infused and filtered for two hours. A quarter of a glass of tincture is drunk before eating.
During treatment with herbal decoction, after a meal, you need to drink activated charcoal. And after two hours - sodium bicarbonate, but not more than ten days and two grams at a time.

Duodenal ulcer: signs

If you know the signs of stomach and intestinal ulcers, you can promptly consult a doctor for examination and diagnosis. At an early stage, any disease can be successfully treated.

The signs are:

Pain on an empty stomach. They are felt at the top of the abdomen and may radiate into the chest area. They are aching in nature and disappear immediately after eating or drinking small amounts of water. A person feels signs of a duodenal ulcer even at night, when pain suddenly arises. To relieve it, the patient is forced to wake up and eat something.
Bloating.
Upset stomach: diarrhea or constipation.
Frequent heartburn and sour eructation.
Pain when pressing on the abdomen.
In severe cases, signs of a duodenal ulcer always cause great excitement. Vomiting of blood is added to the listed symptoms. Blood can also be found in feces.
This disease has seasonal exacerbations.

It is very important to identify signs of stomach and intestinal ulcers in time. In some cases, the disease proceeds without any manifestations. This is typical for the elderly. If the ulcer is left untreated, complications arise. Bleeding and a perforated ulcer may open. She goes to neighboring organs, and peritonitis begins to develop.

Duodenal ulcer treatment

The uncomplicated form of the disease is treated at home under the supervision of a physician.
If complications appear, the patient is admitted to the surgical department of the hospital. During an exacerbation, a diet is strictly followed. Spicy and irritating foods are excluded.
It is very important to destroy the causative agents of the disease during the treatment of the ulcer. For this, the patient undergoes eradication therapy. He also takes antibiotics for a week. Then a second examination is carried out. If the signs of intestinal ulcer have not disappeared, treatment continues in a different way.
To heal ulcers on the mucous membrane, the patient takes rosehip or sea buckthorn oil.
To stop severe pain, drugs are prescribed to eliminate the spasm.
Physiotherapy methods are used.
If conservative treatment has not yielded results, surgery is used.

Intestinal ulcer: signs

The most common site for ulcers is the duodenum. Our stomach produces hydrochloric acid. It helps digest food and kills bacteria that cause pain. Acid is corrosive.

The symptoms of bowel ulcers become noticeable when the balance of acid and mucus, which protects the lining of the stomach and intestines from damage, is disturbed.
When the gastrointestinal tract is affected, the human psyche changes. He constantly fears that the pain will recur, that aggravation and a long stay in the hospital are possible again. The patient begins to go to doctors, to consult with everyone. Eventually, he develops insomnia and disruptions in daytime activity.
Signs of a bowel ulcer are more difficult to detect in a child than in an adult. Children often hide them carefully, as they do not like to be examined, and even more so to be in the hospital.
People with intestinal and stomach problems have persistent upset stools. Usually it is not pronounced clearly and may be absent for several days. Signs of stomach and intestinal ulcers are more noticeable during an exacerbation. Stool disorder, along with pain, is the main complaint of patients.
Frequent constipation with pain in the colon. It is the intestinal walls that are irritated by the contents, and therefore there is a spasm. In addition to stool retention, it decreases in quantity.
Ulcers of the stomach and intestines are also characterized by unstable stools. Symptoms of gastrointestinal peptic ulcer are specific, they cannot be confused with anything else

Intestinal ulcer: treatment

If bowel disease is confirmed, you should immediately switch to a healthy diet. To do this, you need to reduce dairy products and fiber content in the diet. Remember, low-slag diets do not cure bowel ulcers. But they reduce the frequency of bowel movements and can affect symptoms.

The main thing in the treatment of an ulcer of this organ is to relieve inflammation, which will eliminate the symptoms and allow the tissues to regenerate. Once they are under control, every effort should be made to suppress outbreaks. They are eliminated with drugs. First, the doctor prescribes a gentle treatment. If it does not help, therapy continues with aggressive means. When conservative methods of treatment do not lead to recovery, surgical methods are used.

Esophageal ulcer: signs

This disease has several names:

A peptic ulcer develops in the digestive tract. Its occurrence is facilitated by the aggressive effect of stomach juice, which includes pepsin and hydrochloric acid. Presumably, the disease develops when some of the contents of the stomach, hydrochloric acid and pepsin are thrown into the esophagus. The mucous membrane is damaged because it does not have adequate protection. But no one knows the exact causes of an esophageal ulcer.
A symptomatic ulcer occurs when the esophagus is exposed to: infection, medications, trauma, burns.

There are acute and chronic ulcers of the esophagus. Signs by which the disease can be recognized:

Pain behind chest. It usually occurs with food, sometimes after a meal. It is greatly enhanced when a person is lying or bending over.
Food enters the mouth from the esophagus.
Frequent regurgitation occurs, which is called esophageal vomiting. This occurs when the esophagus narrows.

Esophageal ulcer: treatment

Any treatment for this disease begins with diet. During an exacerbation, food should be liquid, chilled and mashed. Spicy, sour, irritating foods and dishes made from them are strictly prohibited.

Treatment is with astringent and mucus-forming drugs that stimulate the lining of the esophagus.
A remedy for diarrhea is prescribed.
Physiotherapy procedures are carried out.
If the treatment was continued for a long time, but there was no improvement, a surgical method is used. In case of complication, an operation is performed.

Perforated ulcer: causes

This disease is a consequence of severe complications, as a result of which peritonitis develops. How does this happen? A through ulcer appears in the walls of the stomach or intestines. The contents are released into the peritoneal cavity. This disease is common in older people. What contributes to its development?

Alcoholic drinks.
Great emotional and physical stress.
Unbalanced diet, the use of salty, pickled, smoked, sour, spicy foods.
Damage to the mucous membrane during organ probing.

Signs of stomach and intestinal ulcers will help to establish the correct diagnosis and start treatment on time.

Perforated ulcer: signs

Intense sharp pain.
Vomiting.
The person turns pale, he has a strong weakness and dizzy. He breaks out in cold sweat.
If you lie down with your legs pressed to your stomach, the pain subsides.

After 5-6 hours, improvement will come. The acute pain sensations will stop. The person will feel relieved. But it is at this time, as a rule, that peritonitis occurs. It is characterized by a distended abdomen, fever, and tachycardia. Signs of gastric ulcer perforation are similar to renal colic or appendicitis. Seek medical attention immediately. Lost time is a threat to human life.

Perforated ulcer: treatment

This disease is treated with a surgical method. With its help, the defect is eliminated. Correctly prescribed treatment is the key to the patient's recovery after surgery.

Compliance with bed rest.
Nutrition is strictly according to a therapeutic diet. It will eliminate inflammation and help the stomach to heal.
Drinking liquids, salt and simple carbohydrates in strictly limited quantities.

Diet in the postoperative period

Three days after the operation, the patient can drink still mineral water, weakly brewed tea or a little bit of slightly sweetened fruit jelly.
In the following days, you can: drink a little rosehip decoction. Eat a couple of soft-boiled eggs and a small portion of heavily boiled and mashed rice or buckwheat porridge, a thin soup made from mashed vegetables.
When 8-10 days have passed after the operation, mashed vegetables and steamed meat or fish cutlets are added to the diet.
A month later, you can add some of yesterday's bread to the diet. In no case should you eat fresh baked goods!
In two - a little kefir and sour cream.

The patient's menu should not include: muffins, spicy, smoked and salty dishes. The use of marinades, canned food, sausages, kidneys, liver, lungs is contraindicated. Exclude cocoa, coffee, chocolate, jam, honey from the diet. Do not eat mushrooms, cabbage, onions, garlic, sorrel, spinach, radishes. To finally recover, it is necessary to give up alcohol, carbonated drinks, ice cream.

When four months have passed, you can gradually, with the permission of your doctor, add previously prohibited foods to your diet.

Stomach ulcer. This is serious. No less, or rather more menacing complications of stomach ulcers sound: cancerous tumor or perforation (or perforation). What to do to recognize the ulcer in time and prevent complications? Therapist will tell Evgeniya Anatolyevna Kuznetsova.

Stomach ulcer- This is primarily a chronic disease, which has periods of exacerbation and remission, the main symptom of which is the formation of a defect (ulcer) in the stomach wall. Not always the formation of a defect can only be in the stomach, it happens that a stomach ulcer is combined with an ulcer in the duodenum. Other organs and systems of the digestive system are often involved in the pathological process, which can lead to dangerous complications, and sometimes even to the death of the patient.

In Russia, it is customary to combine gastric ulcer and duodenal ulcer, this is due to the similarity of the mechanisms of occurrence.

The main mechanism of this disease is an imbalance between the protective and aggressive factors of the gastric mucosa and duodenal mucosa. Next, we will analyze these factors.

In this image, we see an endoscopic picture of an ulcer of the antrum of the stomach, the photograph was obtained during an endoscopic examination.

Protective factors guarding the health of the stomach, this is, firstly, slime, which is produced by the cells of the gastric mucosa. The necessary balance also maintains normal circulation... The cells of the mucous membrane of the stomach and duodenum normally regenerate very quickly. It is this active regeneration and protects the mucous membrane from damage.

What are the factors aggressive for the gastric mucosa? In the first place, of course, hydrochloric acid... It is produced by the cells of the stomach to digest incoming food. Bile acids are also "aggressors". they are produced by the liver, then enter the duodenum. Can also occur cast contents of the duodenum with these very bile acids in the stomach.

Bacterial infection Helicobacterpylori (Hp) can also cause stomach and duodenal ulcers.

But infection does not always lead to stomach and duodenal ulcers (as well as gastritis), often asymptomatic carriage Hp... The reason that not all carriers get sick Hp can be: the state of general and local immunity, as well as nonspecific factors of protection of the gastric mucosa, such as the secretion of bicarbonates, protective mucus.

There are so-called risk factors that can contribute to the onset of the disease. Risk factors can be:

The presence of a patient with high acidity of gastric juice or gastroduodenitis
Prolonged stress
Taking certain medications, for example, non-steroidal anti-inflammatory drugs ("popularly" so-called painkillers)
Smoking, drinking alcohol
Drinking strong tea, coffee, spicy food
Genetic predisposition

But there is also rare reasons , which can lead to gastric ulcer and duodenal ulcer, these include: tumors of the stomach and duodenum, diabetes mellitus, Crohn's disease, a foreign body in the stomach, tuberculosis, syphilis, HIV infection.

Symptoms of stomach and duodenal ulcers

What are the symptoms that bother the patient with peptic ulcer disease? Let's look at the clinical picture of the disease.

It should be noted that symptoms appear during an exacerbation of gastric and duodenal ulcers; outside of an exacerbation, most often patients are not worried about anything. During the period of exacerbation, first of all appears pain in the upper abdomen, which radiates, depending on the localization of the ulcer, to the left half of the chest, scapula, thoracic and lumbar spine, left and right hypochondrium, various parts of the abdomen.

About 75% of patients with peptic ulcer disease complain of pain, 1/3 of patients experience intense pain, and 2/3 of mild pain.

Pain is often associated with food intake, and the timing of the pain depends on the location of the defect. When an ulcer is localized in the upper stomach (otherwise called cardiac), pain occurs 1-1.5 hours after eating

(see fig. 2)

With an ulcer in the lower section (pyloric) and an ulcer of the duodenal bulb, pain occurs 2 to 3 hours after eating, and the patient may also be disturbed by "hungry" pains that occur "on an empty stomach" and pass after eating, and night pains (see. fig. 3).

In addition to pain, the patient is worried about , sour belching, nausea, vomiting at the height of the pain, bringing relief, tendency to constipation ... The disease is characterized by autumn-spring exacerbations.

An ulcer can lead to such formidable complications as:

stomach bleeding, in which the vomit is bloody or looks like coffee grounds, and the stool becomes a black tarry color. The person turns pale, cold sweat and other signs of collapse appear.
perforation (perforation) ulcerative defect (Fig. 4). during perforation, the patient experiences the so-called. "Dagger" pain, vomiting joins.
cancerous degeneration- pains are constant, appetite disappears, the patient is sick, he turns away from meat, weight loss is present.

At the first symptoms indicating a possible stomach and / or duodenal ulcer, an urgent visit to a doctor is necessary. And also, if a patient is diagnosed with gastritis or gastroduodenitis, then it is worth treating these diseases in a timely manner, as well as following the diet necessary for these diseases.

Diagnostics of the gastric ulcer and duodenal ulcer

The diagnosis of a patient with peptic ulcer disease must begin with the collection of complaints and a history of the disease, and it is also necessary to conduct a physical examination (a method of examining a patient by a doctor using the senses) and additional research methods.

Clinical blood test often remains unchanged, but a decrease in hemoglobin is rarely observed, which indicates obvious or latent bleeding; in complicated forms of peptic ulcer disease, leukocytes and ESR may increase.

They also carry out fecal occult blood test, it is positive for bleeding from a peptic ulcer.

The most important and informative of the additional research methods is gastroduodenoscopy(endoscopic examination of the stomach and duodenum), in this study, a special probe (endoscope) is inserted into the stomach, with the help of which the doctor can detect the ulcer defect, establish its depth, determine its localization, take a biopsy (tissue sampling from the altered area for diagnostic purposes).

Also carry out X-ray examination stomach to identify ulcerative niche (this is an ulcerative defect in the mucous membrane, into which a barium suspension enters, used in X-ray examination) (see Fig. 5)

IntragastricpH-metry has an important diagnostic value, because allows you to determine the indicators of gastric secretion, depending on the localization of the ulcer.

Finally, blood tests for Helicobacterpylori.

It should be noted that there may be asymptomatic carriage of Helicobacterрylorі. Only if the tests are positive for Hp are combined with the clinic of peptic ulcer disease (or gastritis), as well as the data of endoscopic examination, then Hp requires eradication.

In order to determine the infection of the organism with Helicobacterрylorі, the method is used PCR diagnostics or polymerase chain reaction. The method consists in the fact that in the collected material (biopsy) of the gastric mucosa and duodenum, DNA regions of Helicobacterрylorі are determined.

Method ELISA diagnostics, stands for enzyme-linked immunosorbent assay, and is also designed to help with diagnosis. In the blood, antibodies IgA, IgM and IgG (immunoglobulins) to Helicobacterрylorі are determined. If IgA and IgM are detected, we can say about early infection - the patient became infected a few days ago. If there are IgG antibodies, then they talk about late infection - already a month after infection.

I would also like to say about the widely used respiratory urease test for Helicobacterрylorі. Helicobacterrylorі in the process of vital activity produces the enzyme urease. A special device helps to compare the level of the gas composition in the initial state, in the normal version, and also at high urease activity.

Treatment of stomach and duodenal ulcers

A special place in the treatment of peptic ulcer disease is diet.

Patients with peptic ulcer disease need to eat boiled meat, boiled fish, grated cereal soups (rolled oats, rice), steamed food
Eat less foods that contribute to flatulence - cabbage, legumes, milk
For patients with peptic ulcer, it is necessary to exclude fried foods, rich meat and fish broths, do not overeat, eat 5-6 times a day
Do not consume foods that contribute to heartburn: strong tea, coffee, chocolate, carbonated drinks, alcohol, onions, garlic, butter

Treatment is aimed at eliminating the cause, suppressing the symptoms of peptic ulcer disease and regenerating during the recovery period.

During the period of exacerbation, the patient needs bed rest for 1 - 3 weeks, since this mode reduces the motor activity of the stomach. In addition, an ulcer often occurs against a background of stress, and bed rest, in simple terms, calms the nervous system.

Medicines for the treatment of stomach ulcers are prescribed by a competent physician. There are certain treatment regimens. Each patient needs an individual approach, since the causes of ulcers are different for each patient. Attention, self-treatment of peptic ulcer disease is not effective and dangerous.

Local antacids are used to reduce the acidity of the stomach, astringent and enveloping drugs that increase the resistance of the gastric mucosa to aggressive factors. From antacids, preference is given to drugs such as Gaviscon and Rennie, which contain carbotates, in contrast to Almagel and Maalox, which contain aluminum.

Also, for the treatment of peptic ulcer, drugs are used that reduce the acidity of gastric juice. - proton pump inhibitors .

They are divided into five generations.

Omeprazole (Omez)
Lansoprazole (Lanzap),
Pantoprazole (Nolpaza, Zipantol)
Rabeprazole (Pariet)
Esomeprazole (Nexium)

H2-histamine receptor blockers are also used for peptic ulcer disease. Despite their similarity in sound to antihistamines, they do not cure allergies, but reduce the production of gastric juice. These are, for example, preparations based on Ranitidine (Ranitidine itself is rarely used now, it is considered obsolete): Zantac; Ranital; Histak; Novo-Ranitidine. But at the same time, preference is given to proton pump inhibitors.

For the treatment of peptic ulcer associated with Helicobacterрylorі, antibiotics sensitive to this bacterium are used.

A month after the eradication of Helicobacterpilori, it is necessary to pass a repeated blood test and, if necessary, resolve the issue of repeated eradication, taking into account the patient's complaints.

To eliminate motor disorders of the gastrointestinal tract, which are manifested by symptoms of nausea and vomiting, drugs such as Metoclopramide (Cerucal) and Domperidone (Motilium) are used. However, the drug Cerucal is not recommended for use on its own, because it is necessary to exclude vomiting of an infectious origin.

Also widely used is the drug De-nol, which has a gastroprotective, antiulcer and antibacterial effect. This drug forms a protective film on the surface of the stomach and duodenum, and it also increases the resistance of the mucous membrane of the stomach and duodenum to aggressive factors, is effective against HP and has an astringent effect. In relation to HP, it is used only in combination with antibiotics. This drug is also prescribed only by a doctor.

During the recovery period, regenerating drugs are prescribed, for example, methyluracil.

Dispensary observation of patients with gastric ulcer and duodenal ulcer

Patients with gastric ulcer and duodenal ulcer are examined 2 - 3 times a year, when exacerbations occur frequently. Also, such patients are regularly examined by a therapist or gastroenterologist - at least 4 times a year. In case of persistent remission, when the symptoms of the disease do not appear, it is necessary to be examined once a year and be examined by a specialist.

Be healthy!

Therapist E.A. Kuznetsova

According to statistics, about 10% of the population suffers from duodenal ulcer today. It usually occurs at the age of 20-30. In men, this pathology occurs approximately twice as often as in women. And the incidence among residents of megalopolises is several times higher than among residents of villages. In this article, we will talk about how to treat a duodenal ulcer, what preventive and diagnostic measures exist.

Duodenal ulcer is a chronic, progressive disease, manifested by the formation of defects in the mucous membrane. Its course is characterized by alternating asymptomatic periods with exacerbation stages, which usually occur in spring or autumn.

Peptic ulcer causes

The main cause of duodenal ulcers is the bacterium Helicobacter Pylori.

The main source of the disease is the bacterium Helicobacter Pylori, which produces substances that damage mucous membranes and cause inflammation. The rest of the factors are predisposing to the development of pathology. These include:

Heredity. An increase in the number of cells synthesizing hydrochloric acid or a decrease in the release of components of gastric mucus, which protects the walls of the organ, is laid at the genetic level;
Neuropsychic personality traits. An ulcer often develops in easily excitable people under the influence of stress, negative emotions, excessive mental stress;
Improper nutrition. The abundance of spicy, sour, salty foods, irregular food intake lead to a violation of the production of gastric juice;
Taking medications. Some anti-inflammatory NSAIDs and pain relievers are irritating;
Bad habits. Regular smoking and frequent consumption of alcoholic beverages lead to mucosal damage.

Over time, a duodenal ulcer can have minor manifestations in the form of discomfort in the upper abdomen or mild digestive upsets that go away quickly. If you do not pay attention to them in time and do not take the necessary measures, the disease progresses and goes into an acute stage.

Duodenal ulcer symptoms

Pain in the upper abdomen in the middle or on the right. The nature of the pain can be different. It can be dull, aching, or stabbing, cutting. It usually occurs 3-5 hours after eating ("hunger pains") or at night. It passes if the patient eats or drinks milk;
Nausea, feeling of fullness in the stomach, bloating, belching;
General weakness, weight loss, decreased performance.

Diagnostics

To make a diagnosis, you need to consult a gastroenterologist. The most accurate examination is fibrogastroduodenoscopy. A specialist examines the lining of the stomach and duodenum using an endoscope. When an ulcer is detected, it evaluates its location, size, type, and presence of scars. During the procedure, a sample of mucous membrane is taken along the edge of the defect for examination for the presence of Helicobacteria. Also, this technique allows you to exclude the presence of polyps or tumors. X-ray examination is sometimes used. The picture shows ulcerative and cicatricial deformity of the intestine. A CBC can indirectly confirm the presence of an ulcer.

Treatment of duodenal ulcer should be comprehensive and include not only drug therapy, but also other methods of treatment, such as diet therapy, physiotherapy, therapeutic exercises and spa treatment.

Drug treatment of duodenal ulcer

Treatment of an exacerbation of the disease is carried out in a hospital. In the acute period of the disease, for the early scarring of the ulcer in the intestinal mucosa, the patient needs bed rest and emotional rest. From the second week of hospitalization, the patient's regimen expands.

The treatment regimen for the disease is chosen by the doctor based on the examination. The choice of treatment tactics depends on whether Helicobacter pylori is found in the mucous membrane of the stomach and duodenum or not. Doctors prescribe treatment according to certain standards developed by leading experts in the field of gastroenterology.

Several groups of drugs are used in therapy:

Antisecretory drugs are a group of drugs whose action is aimed at inhibiting gastric secretion and reducing the aggression of gastric juice. This group includes proton pump inhibitors (omeprazole, pariet, nexium), H2-histamine receptor blockers (famotidine, ranitidine, cimetidine), anticholinergics (gastrocepin).
Preparations containing bismuth are included in the treatment regimen for patients with duodenal ulcer disease associated with Helicobacter pylori. The drugs inhibit the vital activity of bacteria, create a film on the surface of the intestinal mucosa that protects it from the aggressive effects of gastric juice. This group of medicines includes vikalin, de-nol, vikair, etc.
Antibacterial and antiprotozoal drugs are prescribed to suppress the vital activity of Helicobacter pylori. Patients are prescribed amoxicillin, clarithromycin, metronidazole, tetracycline, etc.
Prokinetics (trimedat, cerucal, motilium) are a group of drugs that improve duodenal motility, as well as eliminate nausea and vomiting. The use of these drugs is indicated for a feeling of heaviness and fullness of the stomach, heartburn, early satiety.
Antacids (almagel, maalox, phosphalugel) are taken symptomatically when heartburn occurs. Their action is aimed at neutralizing the aggressive effect of hydrochloric acid on the mucous membrane of the duodenum, they also have an adsorbing and astringent effect.
Gastroprotective agents (venter) cover the affected duodenal mucosa, thereby preventing the aggressive effects of hydrochloric acid and digestive enzymes on it.
Other groups of drugs, such as analgesics (baralgin), antispasmodics (drotaverin), drugs that improve the nutrition of the intestinal mucosa (actovegin, B vitamins).

Diet therapy

It is very important for a person suffering from duodenal ulcer to eat right.

The diet for peptic ulcer disease should be gentle and aimed at protecting the organ from chemical, mechanical and thermal effects. For patients, a special group of therapeutic diets No. 1 has been developed, recommended in the stage of exacerbation of the disease.

The diet implies fractional meals (5-6 times a day in small portions) and includes boiled meat, fish, non-acidic dairy products, pureed vegetables that do not contain coarse fiber, mashed or boiled sweet fruits and berries, boiled cereals, dried white bread , weak tea, coffee and cocoa with milk, rosehip broth.

Fried, pickled, spicy, salty foods, smoked meats, canned food, vegetables containing coarse fiber, sour fruits and berries, mushrooms, sour dairy products, fatty meats and fish, strong coffee, carbonated drinks, sour juices are completely excluded.

Physiotherapy

Physiotherapy treatment increases the effectiveness of drug therapy for duodenal ulcer disease. In the stage of exacerbation of the disease, as prescribed by a doctor, the following methods can be used:

sinusoidal modulated currents have an analgesic, anti-inflammatory effect, and also help to improve blood circulation in the organs of the digestive system;
microwave, ultrasound therapy, electrophoresis with drugs (novocaine, papaverine hydrochloride) have an antisecretory and analgesic effect;
heat treatment - a warming semi-alcoholic compress that can be used at home, it has a warming, analgesic effect, and also helps to improve blood circulation in the mucous membrane of the duodenum.

Physiotherapy

Physical therapy helps to normalize the motor and secretory functions of the duodenum, improve blood circulation in the organ. Also, therapeutic exercises are necessary for the prevention of congestion in the gastrointestinal tract, especially if the patient was on bed rest for some time.

Sanatorium treatment for peptic ulcer disease is carried out at the following resorts: Truskavets, Morshin, Essentuki, Borzhomi, Zheleznovodsk, etc. At home, you can drink mineral waters "Borzhomi", "Jermuk", "Essentuki No. 4", "Smirnovskaya" and others.

Surgery

Surgical treatment is indicated for ulcer perforation, intestinal bleeding, severe stenosis of the duodenal pylorus. Also, surgery can be recommended if the benign ulcer does not tend to heal within 4 months, despite the ongoing conservative therapy.

Complications of peptic ulcer

Bleeding. Manifested by vomiting with blood or like "coffee grounds", as well as black, tarry stools;
Perforation (breakthrough) of the ulcer. Expressed by acute pain in the center or on the right under the sternum. The contents of the intestines enter the abdominal cavity;
Penetration (hidden breakthrough). In the event of a rupture, the contents of the intestine enter neighboring organs due to adhesions that have arisen earlier. It is characterized by severe pain, often radiating to the back. The conditions described above require immediate surgical intervention, otherwise the patient may die. If symptoms of bleeding occur, the patient should be laid on his side, applied to the epigastric region, and urgently called an ambulance. It is strictly forbidden to eat, drink, take any medications;
Narrowing of the gatekeeper. It occurs due to scars of a healing ulcer, which interfere with the passage of food through the lumen of the intestine. Treatment is prompt.

Prevention of recurrence of peptic ulcer disease is proper nutrition, cessation of alcohol and smoking, stress prevention, physiotherapy procedures, and the use of mineral waters.

A duodenal ulcer can be discovered by chance when examining the digestive system, or it can torment its owner with severe pain for many years - the disease manifests itself in different ways. For its treatment and minimization of symptomatic manifestations, a variety of folk remedies are used, the effectiveness of which has been proven by the experience of generations.

Duodenal ulcer: briefly about the disease

Duodenal ulcer is a chronic type of disease with a cyclical course (a constant change of periods of subsiding of symptoms and exacerbations). This diagnosis means that there are mucosal defects on the intestinal walls with a delayed or impaired healing process.

An ulcer develops under the influence of various reasons - it may be the activity of the bacteria Helicobacter Pylori, long-term use of non-steroidal anti-inflammatory drugs, and so on.

The main symptoms include

painful sensations below the sternum;
pain during nighttime sleep, which can make you wake up;
nausea;
with the progression of the disease, vomiting appears with impurities of blood.

It is worth noting that quite often the disease proceeds in a latent form, without giving itself out as obvious symptoms.

Disease video

Traditional medicine for the treatment of the disease

Peptic ulcer disease brings a lot of unpleasant sensations, therefore, for its treatment and prevention of exacerbations, active therapy is often used, which combines both traditional and folk medicine. Natural remedies have different purposes: some are used to minimize symptoms, while others act on the problem itself, helping to relieve the inflammatory process and stimulating tissue regeneration. This approach is considered the most effective within the framework of prevention, during the period of decreasing the intensity of the manifestations of the disease.

When choosing this or that remedy, be sure to pay attention to contraindications, since they will differ depending on the ingredients included in it. The main thing to consider is the effect of the composition on acidity.

Specialist Note: It is very important to consult a doctor before starting alternative therapy. He will be able to assess the condition, the appropriateness of using the selected recipes and their ability to positively influence the situation.

Decoctions and infusions

Herbal medicine has proven itself well in the treatment of many diseases. The advantages of this method include its availability, effectiveness, the ability to combine with drug therapy and simplicity. In the presence of ulcerative lesions of the duodenum, it is worth resorting to the following recipes:

Yarrow decoction... For its preparation, 2 tablespoons of dried raw materials are poured with a glass of boiling water and insisted under a closed lid for half an hour, after cooling they are filtered. The daily rate is 300 ml, divided into 3 doses. This remedy is contraindicated during and during pregnancy.
Broth of calendula. It has an active anti-inflammatory effect. Prepare the infusion in the same way, take half a glass 2 times a day.
St. John's wort oil infusion... The preparation is very simple: 20 grams of herbs are poured with a glass of oil (best of all olive oil) and insisted in a dark place for a month. The specific dose can only be suggested by a specialist, based on the parameters of the patient's condition. John's wort should not be taken with epilepsy, along with sedatives and in the presence of HIV.
Chamomile tea... A few flowers are simply poured over with boiling water and insisted, or they are added to regular tea.
A decoction of a golden mustache. The proportions are standard - a spoonful of raw materials in a glass of water. It is taken orally in half a glass three times a day for a month.
Burdock root drink... The broth is prepared in a water bath (boiled for 30 minutes) by mixing the crushed root with water in a ratio of one to twenty. Drinking such a composition is recommended for 100 ml 2 times a day;
Viburnum infusion. 20 grams of crushed fruits are poured with 200 ml of boiling water and left to infuse in a closed container for 4 hours. The strained composition is drunk before meals 2-3 times during the day, half a glass.

Herbal preparations have a good effect in the treatment of the disease - thus it turns out to achieve a more active and versatile effect.

Consider the most popular recipes:

dandelion root, chicory and elecampane root. Cooking process: a tablespoon of the described composition is placed in a jar and poured with two glasses of cold water for a couple of hours, and then boiled in a water bath for 10 minutes. The filtered broth is drunk in 2 tablespoons before meals;
calendula flowers and birch sap - 50 grams of dried flowers are boiled in three liters of juice and infused for 24 hours;
monastery tea (calendula, plantain, fennel, rose hips, St. John's wort, mint, wormwood, horsetail, chamomile, yarrow) - 2 tablespoons of the mixture are brewed with two glasses of water;
a mix of wormwood, mint, St. John's wort, sage, plantain, calamus root, chamomile and calendula flowers. The remedy is prepared in the same way as monastery tea.

Means for preparing infusions and decoctions in the photo

Honey and propolis

Honey May Reduce Pain Syndrome

Treatment with honey is relevant only in a situation with high acidity, this remedy can reduce painful sensations.

To prepare the medicinal composition, you need to mix liquid honey and olive oil in equal proportions, and then place the mixture in the refrigerator.
You can take it the next day in a tablespoon half an hour before meals, only three times a day.

Propolis is useful for duodenal ulcers, but you need to carefully approach the selection of the basis of the recipe. It is better not to use alcoholic formulations, as they can greatly irritate the mucous membrane..

An oil base works great:

100 grams of propolis is diluted in melted butter in a 1: 8 ratio.
Daily intake - a teaspoon before meals and so on for a month.

Flax seed is taken within two months

The most effective way to consume flax seeds for duodenal ulcers is to take a decoction.

A tablespoon of seed is added to a liter of clean water.
Simmer the mixed ingredients over low heat for about 5 minutes.
The agent is infused until it cools completely under a closed lid.

The minimum course of treatment is two months of daily consumption of 50 ml before meals. This broth is also suitable for preventive purposes: it is drunk in two-month courses during periods of alleged exacerbations (spring and autumn).

The only contraindication in taking such a product is an allergic reaction to flax.

Aloe can be simply chewed half an hour before a meal.

Aloe can be used for peptic ulcer disease in several ways. The easiest one is to chew on clean leaves of the plant half an hour before meals. The piece should be about 4 centimeters long. The event must be carried out in a course of one month, after which a month break is required.

The second method is to prepare infusion with honey.

It is necessary to pass the aloe leaves through a meat grinder.
Thoroughly mix half a glass of the resulting mass with 150 ml of honey.
The finished mixture is insisted in a dark place for 3 days, after which it is taken several times a day for a tablespoon, necessarily some time before meals.

Badger lard

Badger fat is very effective for peptic ulcer disease - it helps to heal lesions and normalize organ functions. Apply it in a melted form (for this it is enough to leave it at room temperature for a while).

The course of admission is two weeks, every day during this period it is recommended to eat a tablespoon of bacon three times a day. To improve the taste perception, you can add fat to milk with honey.

Juices

Potato juice is a popular remedy for duodenal ulcers

Natural vegetable juices can have a positive effect on a patient with an ulcer. In addition to local effects, due to the properties of the products used, this method helps to saturate the body with useful substances in general and strengthen it.

With a duodenal ulcer, you should pay attention to the following drinks:

For cooking, you will need exclusively young potatoes, which must be washed, peeled and minced. The resulting gruel is placed in cheesecloth and squeezed thoroughly. The tool should be consumed some time before meals, 100 ml. The recommended duration of such therapy is 3 courses of 10 days at intervals of the same duration.
Cabbage juice. The cooking method is the same as for potatoes. In the presence of a juicer, this issue fades into the background. The daily rate is from 100 to 200 ml, the course is 3 weeks. If necessary, a repetition is made for a ten-day break. With increased acidity, you can add a little honey to the juice.
Beet juice. Before use, it must be diluted with water in equal proportions. It is recommended to take 100 ml of diluted juice per day half an hour before meals.
Celery juice. The remedy should not be used by people with high acidity, varicose veins and problems with blood coagulation. The product is taken in half a glass before meals.

Mumiyo can be diluted in water or milk

Mumiyo with an ulcer can be used in several variations. The first is an aqueous solution. To make it, 2 grams of the product is mixed with a glass of water. The composition is taken in a tablespoon every morning on an empty stomach for 10 days, after which a break of the same duration is taken.

The second recipe is milk solution. In this case, the mumiyo is not diluted in water, but in 100 ml of milk. It is necessary to take a dessert spoon of the remedy per day, the course is 25 days.

There are no direct contraindications to the use of this product, however, experts recommend avoiding it in the presence of oncological diseases.

Linseed and sea buckthorn oil

Sea buckthorn oil interferes with the reproduction of bacteria

The main properties of sea buckthorn oil include the ability to suppress bacterial growth, promote wound healing and reduce the intensity of the inflammatory process, which is why it is often used for duodenal ulcers.

You need to take sea buckthorn oil three times a day for a teaspoon, only half an hour after that you can eat. During periods of improvement, you can reduce the number of receptions to one in the morning. The course of treatment is a month.

Flaxseed oil can be taken in its pure form in the same way as sea buckthorn, or you can simply add it to food.

Walnuts Promote Tissue Repair

Nuts have a beneficial effect on the processes of tissue regeneration, therefore, in case of an ulcer, they are used to activate the healing of ulcerative formations on the intestinal mucosa.

You can prepare an effective infusion based on this product:

Pour boiling water over 30 grams of chopped nuts (100 ml).
Insist the mixture for half an hour and strain.
Dilute a couple of tablespoons of honey in the composition.

I take the resulting product in a tablespoon 3-4 times during the day.

Duodenal ulcer is a complex disease, for the treatment of which an integrated approach is used. There are a lot of folk recipes for dealing with this problem, the main task of the patient is not to abuse them and consult with specialists.

Duodenal ulcer- This is a disease of the duodenum of a chronic recurrent nature, accompanied by the formation of a defect in its mucous membrane and the tissues located under it. It is manifested by severe pain in the left epigastric region, arising 3-4 hours after eating, attacks of "hungry" and "night" pains, heartburn, acid belching, often vomiting. The most formidable complications are bleeding, perforation of the ulcer and its malignant transformation. Diagnostics include gastroscopy with biopsy, gastric X-ray, urease breath test. The main directions of treatment are the eradication of Helicobacter pylori infection, antacid and gastroprotective therapy.

General information

Duodenal ulcer is a chronic disease characterized by the occurrence of ulcerative defects in the duodenal mucosa. It runs for a long time, alternating periods of remission with exacerbations. Unlike erosive mucosal lesions, ulcers are deeper defects that penetrate into the submucosa of the intestinal wall. Duodenal ulcer disease occurs in 5-15% of the population (statistics vary depending on the region of residence), more often in men. Duodenal ulcers are 4 times more common than stomach ulcers.

Causes

The modern theory of the development of peptic ulcer disease considers an infectious lesion of the stomach and duodenum with Helicobacter Pylori bacteria to be a key factor in its occurrence. This bacterial culture is sown during bacteriological examination of gastric contents in 95% of patients with duodenal ulcer and in 87% of patients with gastric ulcer.

However, infection with Helicobacteria does not always lead to the development of the disease, in most cases there is an asymptomatic carriage. Factors contributing to the development of duodenal ulcer:

alimentary disorders - improper, irregular nutrition;
frequent stress;
increased secretion of gastric juice and decreased activity of gastroprotective factors (gastric mucoproteins and bicarbonates);
smoking, especially on an empty stomach;
long-term use of drugs that have an ulcerogenic (ulcerative) effect (most often these are drugs of the group of non-steroidal anti-inflammatory drugs - analgin, aspirin, diclofenac, etc.);
gastrin-producing tumor (gastrinoma).

Duodenal ulcers resulting from medication or concomitant gastrinoma are symptomatic and are not included in the concept of peptic ulcer disease.

Classification

Peptic ulcer disease differs in localization:

Stomach ulcer (cardia, subcardial region, stomach body);
peptic post-resection ulcer of the pyloric canal (anterior, posterior wall, lesser or greater curvature);
duodenal ulcer (bulbous and postbulbar);
ulcer of unspecified localization.

According to the clinical form, acute (newly diagnosed) and chronic peptic ulcer disease are distinguished. In phase, periods of remission, exacerbation (relapse) and incomplete remission or fading exacerbation are distinguished. A peptic ulcer can occur:

latently (without a pronounced clinic),
easy (with rare relapses),
moderately severe (1-2 exacerbations during the year)
hard (with regular exacerbations up to 3 or more times a year).

Directly a duodenal ulcer differs:

According to the morphological picture: acute or chronic ulcer.
By size: small (up to half a centimeter), medium (up to a centimeter), large (from one to three centimeters) and giant (more than three centimeters).

Stages of ulcer development: active, scarring, “red” scar and “white” scar. With concomitant functional disorders of the gastroduodenal system, their nature is also noted: violations of the motor, evacuation or secretory function.

Symptoms

In children and the elderly, the course of peptic ulcer disease is sometimes almost asymptomatic or with minor manifestations. This course is fraught with the development of severe complications, such as perforation of the duodenum wall followed by peritonitis, latent bleeding and anemia. A typical clinical picture of duodenal ulcer is a characteristic pain syndrome.

The pain is most often moderate, dull. The severity of pain depends on the severity of the disease. Localization, as a rule, with the epigastrium, under the sternum. Sometimes the pain can be diffuse in the upper abdomen. It often occurs at night (1-2 hours) and after prolonged periods without food when the stomach is empty. After eating, milk, antacids, relief comes. But most often the pain resumes after the evacuation of the contents of the stomach.

The pain can occur several times a day for several days (weeks), and then go away on its own. However, over time, without proper therapy, relapses become more frequent, and the intensity of the pain syndrome increases. Seasonality of relapses is characteristic: exacerbations occur more often in spring and autumn.

Complications

The main complications of duodenal ulcers are penetration, perforation, bleeding and narrowing of the intestinal lumen. Ulcerative bleeding occurs when the pathological process affects the vessels of the gastric wall. Bleeding can be latent and manifest only as growing anemia, or it can be pronounced, blood can be found in vomit and appear during bowel movements (black or bloody streaked feces). In some cases, it is possible to stop bleeding during an endoscopic examination, when the source of bleeding can sometimes be cauterized. If the ulcer is deep and the bleeding is profuse, surgical treatment is prescribed, in other cases it is treated conservatively, correcting iron deficiency. In case of ulcerative bleeding, patients are prescribed severe hunger, parenteral nutrition.

Perforation of the duodenal ulcer (usually the anterior wall) leads to the penetration of its contents into the abdominal cavity and inflammation of the peritoneum - peritonitis. When the intestinal wall is perforated, a sharp cutting-stabbing pain in the epigastrium usually occurs, which quickly becomes diffuse, increases with a change in body position, deep breathing. Symptoms of irritation of the peritoneum (Shchetkin-Blumberg) are determined - when pressing on the abdominal wall, and then abruptly releasing the pain increases. Peritonitis is accompanied by hyperthermia. This is an emergency condition that, without proper medical care, leads to the development of shock and death. Ulcer perforation is an indication for urgent surgery.

Forecast and prevention

Measures to prevent the development of duodenal ulcer:

timely detection and treatment of Helicobacter pylori infection;
normalization of the regime and nature of nutrition;
quitting smoking and alcohol abuse;
control over the drugs taken;
harmonious psychological environment, avoidance of stressful situations.

Uncomplicated peptic ulcer disease, with proper treatment and adherence to dietary and lifestyle recommendations, has a favorable prognosis, with high-quality eradication - ulcer healing and cure. The development of complications in peptic ulcer disease aggravates the course and can lead to life-threatening conditions.